- If nipple skin changes and areola area e.g. eczematous changes or inflammatory changes then it’s likely to be Paget’s disease, especially if unilateral: Go for open biopsy or punch biopsy.
- If nipple is retracted or peu de orange or ulcerates then breast cancer is the likely diagnosis.
- If there is ulcer on the breast, ulcer always means cancer until proven otherwise: Do biopsy.
DIFFERENTIAL DIAGNOSIS OF SKIN CHANGES AROUND NIPPLE OF BREAST
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